Jessica Minn Black, LCPC – Mental Health Counselor

Key facts

NPI: 1104678440
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: BBH-LCPC-LIC-70494 (MT)
Practice address: 6804 US Highway 212
Red Lodge, MT 59068-9310
Phone: (406) 213-6618
NPI assigned: Apr 2, 2024
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Redbarn Counseling and Consultation Mental Health Counselor · Red Lodge, MT · NPI 1639895634

NPD MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
BBH-LCPC-LIC-70494	MT	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
Redbarn Counseling and Consultation	Mental Health	Current since Apr 9, 2024	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	BBH-LCPC-LIC-70494	MT	Yes

Addresses

Primary practice location

6804 US Highway 212
Red Lodge, MT 59068-9310

Mailing address

PO Box 103
Red Lodge, MT 59068-0103
Phone (406) 213-6618

Other identifiers

Identifier	Type	State	Issuer
1639895634	Other		NPPES

Other providers in Red Lodge, MT

All providers in Red Lodge, MT · Mental Health Counselor in Montana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.